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NPI 1770149700 · Physical Therapy Clinic/Center · Southfield, MI
Provider details
- NPI number
- 1770149700
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hajir Wutwut, Practice Manager(313) 899-0498
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
27207 Lahser Rd Ste 106
Southfield, MI 48034-2168
Phone: (313) 899-0498
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7485
Dearborn, MI 48121-7485
Registry dates
- Enumerated
- 2019-05-15
- Last updated
- 2019-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.